Cranio-mandibuläre Dysfunktion
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Ganzheitliche MedizinThe malice of CMD consists in the broad diffusion of symptoms and disorders, which appear mainly aside the chewing system. One can also describe this as adversary or a chameleon of the orofacial system.

Symptom locations:

Joint related locations (arthropathy)
Muscle related locations (myopathy)
Diffused numb pain
Other symptoms
Symptoms of CMD
Close symptoms Distant symptoms
Toothache without recognizable correlation
Toothache from pressing and grinding

Limitations of mouth opening and mouth movement

Snapping of one or both jaw joints
Grinding noise of one or both jaw joints
Pain of jaw joint areas
Jaw joint discomfort

Chewing difficulties
Pain in jaw and facial area

Loosening of teeth (locale paradontitis)
Reduction of gums (gingiva recession)

Sensitive tooth necks
Grove on tooth necks (tapered defects)
Changes in tooth placements

Noticeable detrition of chewing areas of one or more teeth (abrasions)

Feeling of teeth not fitting together

Tension of facial muscles while awakening

Burning or numb feeling of tounge or buccal mucosa
Head pressure (mostly on temples and back of head)

Limited head turning ability
Neck stiffness and tension
Neck and/or shoulder pains
Numbness of arms and fingers
Pain of joints
Shoulder pain
Back pain
Limited waist turning possibility (ISG blockade)
Problems of pelvic floor

Earache without recognizable cause
Ear noise (tinnitus)
Hearing reduction

Discomfort swallowing
Feeling of lump in ones throat

Pain behind eye lenses
Eye fibrillation
Double vision
Light sensitivity
Impaired vision

Nightly respiratory disorder

Characteristic Symptoms of Myopathy und Arthropathy:

- Diffused numb pain eradiating to neck
- Rest pain
- Palpation pain (= feeling pain while touching)
- Increased pain and discomfort during the morning
- Often both sided
- Often chronical

- Localised, mostly stinging pain and often without radiation
- Straining pain (e. g. while chewing)
- Shorter acute process
- Mostly one-sided

Myopathy can unnoticeably merge into a mixed variation of myoarthropathy and can inevitably affect the jaw joints.

Differential diagnoses – or how CMD can be mistaken:

Typically a CMD above all, causes pain in head and facial areas.
Therefore, at the beginning of treatment common illnesses e.g. extreme tooth decay, aleovodental and gum disease, parodontitis or zysts are excluded.

Headache illnesses must be clarified of other causes by a neurologist.

Chronic infections of paranasal sinuses (jaw, forehead and ethmoid bone sinuses) also often cause pain in upper jaw and accordingly facial area.

Especially pain at the temples of patients can be the result of arteritis temporalis (infection of the artery).

Muscle and pain of the jaw joints occur also with generalized illnesses, e. g. polyarthritis or fibromyalgia.